Health Care Compliance Analyst

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Job Description
Position Information
Join the Department of Health Services as a Health Care Compliance Analyst!
Starting salary up to $122,555
year
a cash allowance of approximately $600/month,
and a comprehensive benefits package*
Working at the County of Sonoma offers expansive opportunities for growth and development, the ability to be a part of a challenging and rewarding work environment, and the satisfaction of knowing you're working to better our communities. You can also look forward to a competitive total compensation package* including:
An annual Staff Development/Wellness Benefit allowance up to $1,700 and ongoing education/training opportunities
Competitive vacation and sick leave accruals, 12 paid holidays, and an additional 8 floating holiday hours per year
Significant portion of health care premiums paid by the County and access to several health plan options
County contribution to a Health Reimbursement Arrangement to help fund post-retirement employee health insurance/benefits
Retirement fully integrated with Social Security
May be eligible for up to 8 weeks (320 hours) of Paid Parental Leave after 12 months of County employment
Eligibility for a salary increase after 1,040 hours (6 months when working full-time) for good work performance; eligibility for a salary increase for good performance every year thereafter, until reaching the top of the salary range
The Health Care Compliance Analyst
As part of the Compliance Unit team, the Heath Care Compliance Analyst works collaboratively with staff in Administration, Public Health, and Behavioral Health to support the administration of a health care compliance and ethics programs. The Compliance Unit team works as a cohesive, confidential unit, with regular team meetings to collaborate and support the mission and values of the Department of Health Services (DHS).
The position is responsible for:
Researching, interpreting, and implementing federal, state, and local regulatory mandates
Working as the liaison to management to ensure regulatory compliance with applicable laws, regulations, policies, grants, and contracts
Preventing, detecting, and correcting inappropriate activity or misconduct, including health care fraud, waste, and abuse
Implementing effective lines of communication with DHS staff to report inappropriate activities or misconduct
Tracking and identifying trends in reported compliance issues and inquiries
Conducting investigations of alleged misconduct and reporting to outside entities when applicable
Conducting audits to ensure compliance with health care laws, regulations, policies, and grant requirements
Developing health care compliance policies, procedures, and Standards of Conduct
Creating and implementing regular health care compliance training and education
Ensuring applicable contractors have a compliance program according to contracts and regulations
Helping to promote a culture of honest and responsible behavior
The ideal candidates enjoys working a team environment and is experienced in the aforementioned areas of healthcare compliance, and will possess:
Familiarity with mental health laws and regulations regarding Medicare and Medi-Cal
Superior analytical skills to research, interpret, and implement federal, state, and local regulatory mandates
Advanced writing, communication, collaboration, and problem-solving skills
The ability to deliver presentations and use public speaking skills
Experience using evaluation methodologies, including principles and practices related to continuous quality improvement
Experience developing and implementing training programs
The demonstrated ability to diplomatically respond to difficult and stressful situations
An eye for detail and an aptitude for managing and prioritizing multiple responsibilities and projects
The ability to adapt to change, and communicate information and ideas clearly and concisely
It is desirable for the candidate to be Certified in Health Care Compliance (CHC), Certified in Healthcare Privacy Compliance (CHPC), or to possess another compliance certification
Proficiency in Microsoft Office
The Civil Service title for this classification is Patient Care Analyst. This employment list may also be used to fill future full-time, part-time, or extra-help (temporary) positions as they occur during the active status of the list. County employees who wish to be considered for future positions should consider applying to this recruitment.
*Salary is negotiable within the established range. Benefits described herein do not represent a contract and may be changed without notice. Additional information can found in the County of Sonoma Salary Resolution .
APPLICATION SUBMISSIONS REQUIRE THE SUPPLEMENTAL QUESTIONNAIRE BE COMPLETED.
Minimum Qualifications
Education:
Academic work which directly relates to the knowledge and abilities listed. Normally, graduation from an accredited school nursing, academic course work in health care, hospital or nursing administration, medical records, psychology counseling or social work or a related field will meet these required knowledge and abilities.
Experience:
Any combination of training and experience that will provide an opportunity to acquire the knowledge and abilities listed. Normally, three years of experience in an acute care hospital or other equally responsible health profession experience including some training or experience in performing patient's rights advocacy, utilization review or quality assurance or infection control or experience analyzing health care or nursing systems and programs could provide this opportunity.
License:
Possession of a valid California license as a Registered Nurse or license, registration or certification in another related health discipline.
Knowledge, Skills, and Abilities
Thorough knowledge of:
relative importance of problems effecting the respective
areas of responsibility.
Considerable knowledge of:
various methods of assessing professional care and services; the applicable laws, rules, regulations and regulatory agency requirements related to assigned area of responsibility; medical terminology, hospital routines, and policies and procedures.
Working knowledge of:
the various specialty areas within the Resource Management Program.
Knowledge of:
appropriate financial reporting and statistical design, methodology, presentation and interpretation; the principles and practices of consultation and training.
Ability to:
recognize resource management and patient care problems or potential problems in their early stages; utilize various methods of assessing the utilization and quality of services and care provided; communicate effectively with persons of varying backgrounds; influence physicians, staff, other managers into accepting changes required by the resource management program; advocate on behalf of patients and clients using behavior that will provide the best opportunity for a reasonable resolution of the complaint; establish and maintain cooperative working relationships with other hospital and Mental Health Department personnel and others who have an interest in quality patient care; exercise responsibility, initiative, ingenuity, independent analysis and judgment in solving medical, administrative and management problems; write comprehensive reports; analyze problems accurately and to take effective course of action; give and follow oral and written directions of a technical and professional nature in detail; interact with patients and professional staff sympathetically and tactfully in difficult and sensitive situations; establish and maintain cooperative working relationships with other hospital personnel; interpret medical charts, records and reports.
Selection Procedure & Some Helpful Tips When Applying
Your application information and your responses to the supplemental questions are evaluated and taken into consideration throughout the entire selection process.
You should list all employers and positions held within the last ten years in the work history section of your application and should be as thorough as possible when responding to the supplemental questions.
You may include history beyond ten years if related to the position for which you are applying. If you held multiple positions with one employer, list out each position separately.
Failure to follow these instructions may impact your competitiveness in this process or may result in disqualification.
Please visit Getting-a-Job with the County of Sonoma to review more detailed information about the hiring process, including the application process, examination steps, and department selection process.
APPLICATION SUBMISSIONS REQUIRE THE SUPPLEMENTAL QUESTIONNAIRE BE COMPLETED.
Responses to supplemental questions will be scored using position-specific criteria. Please provide specific and detailed responses of a reasonable length to allow for thorough assessment of your qualifications. Responses which state See Resume or See Application may be considered insufficient and therefore may not be scored.
The selection procedure will consist of the following examination:
An Application & Supplemental Questionnaire Appraisal Examination
(weight 100%) may be conducted to evaluate each applicant's application and supplemental questionnaire for satisfaction of minimum qualifications (pass/not pass); and for educational coursework, training, experience, knowledge, and abilities which relate to this position. Each applicant will be evaluated based on the following criteria:
Relevance of work history, related experience, and achieved level of education and/or training as described in the application and responses to the supplemental questions.
Candidates demonstrating possession of the minimum qualifications will be placed on an employment list in order of most qualified to least qualified based on the achieved score received in the Application & Supplemental Questionnaire Appraisal Examination. Scores may be adjusted based on such factors as number of candidates, anticipated vacancies, past practice, and natural breaks in the scores achieved by this group of candidates.
ADDITIONAL INFORMATION
A background investigation is required prior to employment. Candidates referred to departments for a selection interview are typically required to sign authorization and release forms enabling such an investigation. Failure to sign prescribed forms will result in the candidate not being considered further for that vacancy. Reference information will not be made available to applicants.
Additional requirements, such as successful completion of a physical exam, drug screen, etc., may apply, depending on the duties and responsibilities of the position. If you receive a conditional job offer for the position, the requirements upon which the offer are contingent will be outlined in the conditional job letter. You may also review the Job Classification Screening Schedule to determine the requirements for this position.
IMPORTANT INFORMATION: As the largest employer in Sonoma County, the Board of Supervisors has adopted a vaccination and testing policy to help mitigate transmission of COVID-19. All County employees will be required to either have documented proof of full COVID-19 vaccination (including booster, when eligible) on file or consent to twice weekly COVID-19 testing.
HOW TO APPLY
Applications are accepted on-line at: ****. Paper applications may be submitted by person, ****), email, or through the mail. All applications and appropriate supplemental information as outlined in the job bulletin must be RECEIVED by the time and date specified on the first page of this job announcement. Applications received after the recruitment closes will not be accepted.
The County of Sonoma values diversity and is dedicated to creating a workplace environment that provides individuals with a sense of belonging. We are committed to having a diverse workforce that is representative of the communities we serve. The County is proud to be an Equal Opportunity Employer where all aspects of employment are based on merit, competence, performance, and business need.
HR Analyst: DP
HR Technician: KC
Closing Date:
3/21/2022 11:59 PM Pacific
Job Address
Santa Rosa
California
United States
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Employer:
Sonoma County, CA
This listing is managed by:
About County of Sonoma
The County of Sonoma is governed by the Sonoma County Board of Supervisors and is comprised of 26 departments/agencies that provide a full range of services to the community through its 4,000 employees. Sonoma County government has a history of providing excellent and responsive public service while operating under sound fiscal principles. This is achieved in a climate of respect and collegiality.
The County enjoys stability in leadership, with four of the five Board members serving a second, third or fifth term. This is further demonstrated by a strong group of department heads. The department heads routinely team with middle management on a variety of successful projects. Historically, labor relations have been stable, with most employees working under long-term MOUs; however, over the next few years, the County will be going through the contract negotiation process with the majority of the bargaining units.
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